HomeMy WebLinkAbout09-0648Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien .~ ~ 9 . ~_ y ~ ~ T~
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 y
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Lien Unit Phone: (800) 913-6050 512593709 `
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As provided by section 6321, 6322, and 6323 of the Internal Revenue ~- ~~ °`'
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made ~, 1 ~ ¢ `' ~° ~
a demand for payment of this liability, but it remains unpaid. Therefore,
there is a lien in favor of the United States on all property and rights to
property belonging to this taxpayer for the amount of these taxes, and n ~.+
additions! penalties, interest, and costs that may accrue. ~
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Name of Taxpayer RICHARD & ANN BARB C;
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Residence
6996 WERTZVILLE RD _
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MECHANICSBURG, PA 17050-1540 ~r~, ~ ~~
IMPORTANT RELEASE INFORMATION: For each assessment listed below ~
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unless notice of the lien is refiled by the date given in column (e), this notice shall, W -<
on the day following such date, operate as a certificate of release as defined
in 1RC 6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e (f)
1040 12/31/2003 XXX-XX-0304 05/24/2004 06/23/2014
1040 12/31/2003 XXX-XX-0304 04/03/2006 05/03/2016 458.09
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 458.09
This notice was prepared and signed at DETROIT, MI
the 2 9th day of January 2 0 0 9
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on this,
Signature ~ A ~~Z~~ Title
REVENUE OFFICER 22-06-1407
for SEAN DUNLEAVY (717) 777-9626
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409)
Part 1 • Kept gY ReWrdin~ O(flce Form 668(lf7(c) (Rev. 2-2004)
CAT. NO &0025X